Individual
CHERYL LOUISE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
78 N DIVISION ST, HESPERIA, MI 49421-5107
(231) 854-6415
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247814
MI
Other
Enumeration date
05/21/2021
Last updated
11/14/2022
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